Individual
CARSON FORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1675 HICKORY LOOP, LAS CRUCES, NM 88005-6587
(575) 526-6682
(575) 526-6682
Mailing address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 526-6682
(575) 526-6682
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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